Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Virgil Jacobsen, MPT

Individual provider Physical Therapist · NPI 1619027836

Jonathan Virgil Jacobsen, MPT is a Physical Therapist in Private Practice in Lehi, Utah. Qualified in 2003, 23 years ago. Practices with Professional Physical Therapy and Sports Medicine, a 4-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
23
Licensed in
UT
In the registry since
2007
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

680 E Main St Ste 101
Lehi, UT 84043-2251
Phone: (801) 768-2723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 53121142401 (UT)

Record details

NPI number1619027836
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedJanuary 11, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Professional Physical Therapy And Sports Medicine — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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